Mercy Medical Center Community Health June 8 The Sisters of Mercy Needs Assessment & welcome all people of every Implementation 2016 creed, color, economic and Strategy social condition. Community health needs assessments (CHNA) and implementation strategies are required of tax- exempt hospitals as a result of the Patient Protection and Affordable Care Act. The CHNA and implementation strategies create an important opportunity to improve the health of communities by ensuring that hospitals have the information they need to provide community benefits that meet the needs of their communities. They also provide an opportunity to improve coordination of hospital community benefits with other efforts to improve community health. On December 31, 2014, the Internal Revenue Service (IRS) published final rules implementing the “Additional Requirements for Charitable Hospitals” section of the Affordable Care Act (ACA). The hospital facility must "conduct" a community health needs assessment ("CHNA") during the current taxable year or in either of the two taxable years immediately preceding such taxable year and an "authorized body of the hospital facility" must adopt an "implementation strategy" to meet the community health needs identified through the CHNA. Included in this document is Mercy Medical Center’s CHNA and Implementation Strategy as approved by the Mercy Health Services Mission & Corporate Ethics Committee on June 8, 2016. Mercy Medical Center 345 Saint Paul Place Baltimore, Maryland 21201 www.mdmercy.com TABLE OF CONTENTS EXECUTIVE SUMMARY .................................................................................................................................................. 2 GENERAL BACKGROUND ............................................................................................................................................... 3 Mercy Health Services & Mercy Medical Center ................................................................................................. 3 History ................................................................................................................................................................. 3 Mission & Values ................................................................................................................................................. 3 Vision ................................................................................................................................................................... 4 Mercy Medical Center Service Area .................................................................................................................... 4 BALTIMORE’S CHALLENGES .......................................................................................................................................... 4 MERCY COMMUNITY BENEFIT SERVICE AREA.............................................................................................................. 6 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS & METHODS ........................................................................... 7 Quantitative Data ........................................................................................................................................... 7 Key Findings ...................................................................................................................................... 8 Demographics: Income, Unemployment, & Poverty ........................................................................ 8 Demographics: Race & Ethnicity ..................................................................................................... 10 Demographics: Age & Gender ......................................................................................................... 11 Education ........................................................................................................................................ 12 Physical, Built, and Social Environment .......................................................................................... 13 Community Health Indicators ......................................................................................................... 15 Top Causes of Premature Death ....................................................................................... 18 Maternal and Child Health Indicators ............................................................................... 15 Qualitative Data ............................................................................................................................................ 22 Input from Community Representatives......................................................................................... 22 Community Stakeholders ................................................................................................................ 23 Stakeholder Interview Process ........................................................................................................ 24 Summary of Feedback ..................................................................................................................... 24 PRIORITIZATION OF NEEDS ......................................................................................................................................... 26 COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION STRATEGY ............................................................. 27 Summary ........................................................................................................................................................... 27 Aligned Population Health Initiatives ................................................................................................................ 27 Community Partnerships ................................................................................................................................... 28 Improving access to care for homeless neighbors ............................................................................................ 29 Improving birth outcomes and prenatal care .................................................................................................... 30 Facilitating care coordination with Federally Qualified Health Centers ............................................................ 31 Providing support to victims of violence and addition ...................................................................................... 32 Providing health education to the population .................................................................................................. 33 Successful Initiatives ......................................................................................................................................... 34 EXISTING HEALTH CARE FACILITIES & RESOURCES .................................................................................................... 35 DATA SOURCES & TECHNICAL NOTES ......................................................................................................................... 36 ACKNOWLEDGEMENTS ............................................................................................................................................... 41 DISCLAIMER ................................................................................................................................................................. 42 2016 Community Health Needs Assessment & Implementation Plan | Mercy Medical Center 1 EXECUTIVE SUMMARY Mercy Health Services is an independent, not-for-profit, mission-driven health system serving Baltimore since 1874. At its center is a general acute-care teaching hospital affiliated with the University of Maryland School of Medicine located in the heart of downtown Baltimore. The Sisters of Mercy have sponsored Mercy since its healthcare operations began and Mercy has maintained a special, commitment to poor and underserved persons consistent with the mission of the Sisters of Mercy. Mercy Medical Center is one of 13 hospitals in Baltimore City and one of 5 hospitals within the defined Community Benefit Service Area (CBSA). It serves a unique role as a high-quality community hospital, providing a broad range of primary and secondary acute-care services, as well as a preferred tertiary referral center providing services to patients from a broad geographic area. Mercy generates most of its total revenue from regionally oriented, surgically focused specialty programs from patients from nearly every ZIP code across Maryland. However, when it comes to Community Health Needs and Community Benefit activities, Mercy has focused its resources on a smaller geographic area that represents downtown and inner-city neighborhoods in order to include medically underserved, low income, and minority populations. Mercy provides an array of specialized citywide support programs for targeted populations including: lower-income pregnant women, individuals experiencing homelessness, substance abusers, and support and coordination with Federally Qualified Health Centers to meet community health needs. Mercy also houses a citywide forensic examination program for victims of sexual assault and a family violence program. Baltimore City faces numerous social and economic challenges that negatively impact the overall health status of the population. Nearly 1-in-4 or roughly 145,000 persons in Baltimore live below the federal poverty line. Baltimore’s economic challenges also translate to significant